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Setup a New Agency Account

Our services are available to all state agencies, boards, commissions, institutions and political subdivisions. To set up a new agency account, please fill out and submit the form below.

Note: If you are DSHS, please contact your PRTonline administrator to set up a user account.

Agency Account Information

Name:
Agency:
Phone:
Address:
City:
State:
Zip Code
Email:
Enter Email Again: